EVALUATION OF INHALER ANESTHETIC AND MEDICAL GAS CONSUMPTION IN PATIENTS UNDER LOW FLOW WITH MEDIUM AND HIGH FLOW ANESTHESIA
Abstract
Objectives; Under low flow anesthesia, ventilation is provided with hot and humid air, a decrease in the consumption of inhaler anesthetics and a decrease in the consumption of medical gases such as oxygen and nitrous oxide are provided. In this study, it was aimed to retrospectively evaluate the inhaler anesthesia consumption, oxygen and, if available, nitrous oxide consumption, and operation time of patients who underwent low (<1 liter/minute) and medium and high (>2 liter/minute) flow anesthesia in the operating room unit of our hospital. Method; After the approval of the local ethics committee, the study was started and the patients who were taken by the urology clinic between 15 March and 15 May were included in the study. Flow values of 1 liter/minute and below were accepted as low flow for the study. Flows of 2 liter/minute and above are considered as medium high flow. Study groups were divided into Group DA (<1 liter/minute flow) and Group OYA (>1 liter/minute flow). Anesthesia documents were evaluated for the study data, inhaler anesthesia consumptions, oxygen and, if any, nitrous oxide consumptions, operation duration and consumption costs were obtained with the consumption values recorded on these papers. Results; When demographic data were evaluated, no statistical difference was observed between the groups.(p>0.05) When inhaled anesthetic and oxygen consumption were evaluated, there was a statistically significant decrease in favor of low flow.(p<0.05) When nitrous oxide consumption was evaluated, there was no statistical difference between the groups.(p>0.05) Conclusion; As a result of the study, it was observed that patients who were applied low-flow anesthesia had lower inhaler anesthetic and lower medical gas consumption compared to the patients who received mid-flow anesthesia.
Keywords
References
- Referans1. Varughese S, Ahmed R. Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update. Anesth Analg. 2021 Oct;133(4):826–35.
- Referans2. Brattwall M, Warrén-Stomberg M, Hesselvik F, Jakobsson J. Brief review: theory and practice of minimal fresh gas flow anesthesia. Canadian journal of anaesthesia = Journal canadien d’anesthesie. 2012 Aug;59(8):785–97.
- Referans3. Odin I, Feiss P. Low flow and economics of inhalational anaesthesia. Best Pract Res Clin Anaesthesiol. 2005 Sep;19(3):399–413.
- Referans4. Colak YZ, Toprak HI. Feasibility, safety, and economic consequences of using low flow anesthesia according to body weight. J Anesth. 2020 Aug;34(4):537–42.
- Referans5. Doger C, Kahveci K, Ornek D, But A, Aksoy M, Gokcinar D, et al. Effects of Low-Flow Sevoflurane Anesthesia on Pulmonary Functions in Patients Undergoing Laparoscopic Abdominal Surgery. Biomed Res Int. 2016;2016:3068467.
- Referans6. Baum J, Stanke HG. [Low-flow and minimal-flow anesthesia with sevoflurane]. Anaesthesist. 1998 Nov;47 Suppl 1:S70-6.
- Referans7. El-Seify ZA, Khattab AM, Shaaban A, Radojevic D, Jankovic I. Low flow anesthesia: Efficacy and outcome of laryngeal mask airway versus pressure-optimized cuffed-endotracheal tube. Saudi J Anaesth. 2010 Jan;4(1):6–10.
- Referans8. Malhotra R, Kumar N, Jain A. Cost identification analysis of general anesthesia. J Anaesthesiol Clin Pharmacol. 2020;36(2):219–26.
- Referans9. Singh A, Sinha R, Aravindan A, Kumar KR, Datta PK. Comparison of low-fresh gas flow technique to standard technique of sevoflurane induction in children-A randomized controlled trial. Paediatr Anaesth. 2019 Apr;29(4):304–9.
- Referans10. Boonmak P, Boonmak S, Pattanittum P. High initial concentration versus low initial concentration sevoflurane for inhalational induction of anaesthesia. Cochrane Database Syst Rev. 2012 Sep;(9):CD006837.
- Referans11. Eschertzhuber S, Salgo B, Schmitz A, Roth W, Frotzler A, Keller CH, et al. Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs. Acta Anaesthesiol Scand. 2010 Aug;54(7):855–8
DÜŞÜK AKIM İLE ORTA VE YÜKSEK AKIM ANESTEZİ ALTINDAKİ HASTALARDA İNHALER ANESTEZİK VE MEDİKAL GAZ TÜKETİMLERİNİN DEĞERLENDİRİLMESİ
Abstract
Giriş; Düşük akım anestezi ile sıcak ve nemli hava ile ventilasyon sağlanır, inhaler anesteziklerin tüketiminde azalma, oksijen, nitröz oksit gibi medikal gazların tüketiminde azalma sağlanır. Bu çalışmada hastanemiz ameliyathane ünitesinde hastalar içerisinde düşük (<1 litre/dakika) ve orta ve üstü (>1 litre/dakika) akım anestezi uygulanan hastaların inhaler anestezi tüketimleri, oksijen ve varsa nitröz oksit tüketimleri ve operasyon süreleri retrospektif olarak değerlendirilmesi amaçlanmıştır. Metot; Yerel etik kurul onamı sonrası çalışmaya başlanılmış ve 15 mart- 15 mayıs tarihleri arasında üroloji kliniği tarafından alınan hastalar çalışmaya dahil edilmiştir. Çalışma için 1 litre/dakika ve aşağısındaki akım değerleri düşük akım olarak kabul edilmiştir. 2 litre/dakika ve üzeri akımlar orta tüksek akım olarak kabul edilmiştir. Çalışma grupları Grup DA (<1 litre/dakika akım) ve Grup OYA (>1 litre/dakika akım) olarak ikiye ayrılmıştır. Çalışma verileri için anestezi dokümanları değerlendirilmiş, inhaler anestezi tüketimleri, oksijen ve varsa nitröz oksit tüketimleri, operasyon süreleri ve tüketim maliyetleri bu kağıtlara kaydedilen tüketim değerleri ile elde edilmiştir. Bulgular; Demografik veriler değerlendirildiğinde gruplar arsında istatistiksel olarak herhangi bir farklılık görülmemiştir. (p>0.05) İnhaler anestezik ve oksijen tüketimi değerlendirildiğinde düşük akım lehine istatistiksel olarak anlamlı bir azalma mevcuttu. (p<0.05) Nitröz oksit tüketimi değerlendirildiğinde gruplar arasında istatistiksel olarak herhangi bir farklılık görülmemiştir. (p>0.05) Sonuç; Çalışma sonucunda düşük akım anestezi uygulanan hastalarda orta akım anestezi uygulanan hastalara kıyasla daha düşük inhaler anestezik, daha düşük medikal gaz tüketimi olduğu görülmüştür
Keywords
References
- Referans1. Varughese S, Ahmed R. Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update. Anesth Analg. 2021 Oct;133(4):826–35.
- Referans2. Brattwall M, Warrén-Stomberg M, Hesselvik F, Jakobsson J. Brief review: theory and practice of minimal fresh gas flow anesthesia. Canadian journal of anaesthesia = Journal canadien d’anesthesie. 2012 Aug;59(8):785–97.
- Referans3. Odin I, Feiss P. Low flow and economics of inhalational anaesthesia. Best Pract Res Clin Anaesthesiol. 2005 Sep;19(3):399–413.
- Referans4. Colak YZ, Toprak HI. Feasibility, safety, and economic consequences of using low flow anesthesia according to body weight. J Anesth. 2020 Aug;34(4):537–42.
- Referans5. Doger C, Kahveci K, Ornek D, But A, Aksoy M, Gokcinar D, et al. Effects of Low-Flow Sevoflurane Anesthesia on Pulmonary Functions in Patients Undergoing Laparoscopic Abdominal Surgery. Biomed Res Int. 2016;2016:3068467.
- Referans6. Baum J, Stanke HG. [Low-flow and minimal-flow anesthesia with sevoflurane]. Anaesthesist. 1998 Nov;47 Suppl 1:S70-6.
- Referans7. El-Seify ZA, Khattab AM, Shaaban A, Radojevic D, Jankovic I. Low flow anesthesia: Efficacy and outcome of laryngeal mask airway versus pressure-optimized cuffed-endotracheal tube. Saudi J Anaesth. 2010 Jan;4(1):6–10.
- Referans8. Malhotra R, Kumar N, Jain A. Cost identification analysis of general anesthesia. J Anaesthesiol Clin Pharmacol. 2020;36(2):219–26.
- Referans9. Singh A, Sinha R, Aravindan A, Kumar KR, Datta PK. Comparison of low-fresh gas flow technique to standard technique of sevoflurane induction in children-A randomized controlled trial. Paediatr Anaesth. 2019 Apr;29(4):304–9.
- Referans10. Boonmak P, Boonmak S, Pattanittum P. High initial concentration versus low initial concentration sevoflurane for inhalational induction of anaesthesia. Cochrane Database Syst Rev. 2012 Sep;(9):CD006837.
- Referans11. Eschertzhuber S, Salgo B, Schmitz A, Roth W, Frotzler A, Keller CH, et al. Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs. Acta Anaesthesiol Scand. 2010 Aug;54(7):855–8
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Surgery |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 31, 2022 |
| Submission Date | April 24, 2022 |
| Published in Issue | Year 2022 Volume: 1 Issue: 2 |